Headache Evaluation

Headache Evaluation – Clinical Instructions

This Headache Evaluation is a structured clinical screening tool designed to assess frequency, severity, pattern, and associated red-flag symptoms of headache disorders.

It supports differentiation between primary headaches (migraine, tension-type, cluster) and secondary causes that may require urgent investigation.

How to Take This Assessment

  • Base responses on headaches experienced within the last 30 days.
  • Answer honestly, including severity and functional impact.
  • Do not minimize symptoms such as visual changes or neurological signs.

Clinical Use of Results

  • Identifies low-risk vs high-risk headache patterns.
  • Guides need for neuroimaging, referral, or urgent care.
  • Full results may be forwarded to a neurologist or senior clinician.
Urgent Warning: Sudden severe headache, neurological deficit, fever with neck stiffness, or altered consciousness requires immediate medical attention.
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1 How often do you experience headaches?
2 How long do your headaches typically last?
3 Where is the headache usually located?
4 How would you describe the pain?
5 Does physical activity worsen the headache?
6 Do you experience nausea or vomiting with headaches?
7 Do you have sensitivity to light or sound?
8 Do you experience visual changes (aura) before headache?
9 Do headaches wake you from sleep?
10 Is the headache worse in the morning?
11 Have you noticed worsening headache severity over time?
12 Have you had fever or neck stiffness with headache?
13 Have you experienced weakness, numbness, or speech difficulty?
14 Did the headache start suddenly and severely (“thunderclap”)?
15 Have you had recent head trauma?
16 Do headaches interfere with daily activities?
17 Do you take pain medication frequently for headaches?
18 Do you have a history of migraine or chronic headaches?
19 Are headaches associated with hormonal changes or stress?
20 Have your headache patterns changed recently?

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